Devices for sealing staples in tissue
Devices and methods for forming an anastomosis between two body lumens are described herein. In one embodiment, an anastomosis can be formed by transecting a body lumen using a linear surgical stapler that delivers a plurality of sealing adjuncts in combination with a plurality of surgical staples along a staple line, where the plurality of sealing adjuncts are coupled to one another by a suture. A circular surgical stapler can be used to create an anastomosis with a second body lumen across the staple line. Before actuating the circular stapler, the proximal and distal ends of the staple line can be drawn into a central lumen of the circular stapler using the suture extending between the plurality of sealing adjuncts such that the staple line is resected when the circular stapler is actuated.
1. A staple cartridge assembly for use with a surgical stapler, comprising:
a cartridge body having a plurality of staple cavities, each staple cavity having a surgical staple disposed therein, wherein the staples are configured to be ejected from the cartridge body in a proximal to distal direction; and
a plurality of sealing adjuncts coupled to the cartridge body such that a staple ejected from the cartridge body passes through one of the plurality of sealing adjuncts before entering into tissue adjacent to the cartridge body;
wherein the plurality of staple cavities are arranged such that each of a proximal end and a distal end of the cartridge body have a number of longitudinal rows of staple cavities that is greater than a number of longitudinal rows of staple cavities in a middle portion of the cartridge body extending between the proximal and distal ends; and
wherein the plurality of sealing adjuncts are positioned at the proximal and distal ends of the cartridge body.
2. The assembly of claim 1 , further comprising at least one suture thread coupled to and extending between the plurality of sealing adjuncts positioned at the proximal and distal ends of the cartridge body.
3. The assembly of claim 2 , wherein the at least one suture thread is offset from any staple cavity positioned in the middle portion of the cartridge body.
4. The assembly of claim 1 , wherein the number of longitudinal rows in the middle portion of the cartridge body is more than one.
5. The assembly of claim 1 , wherein the longitudinal rows in the middle portion of the cartridge body includes first and second longitudinal rows of staple cavities along longitudinal edges of the cartridge body.
6. The assembly of claim 1 , wherein at least one longitudinal row of each of the proximal and distal ends of the cartridge body is positioned laterally outward of all of the number of longitudinal rows in the middle portion of the cartridge body.
7. The assembly of claim 6 , wherein at least one longitudinal row of each of the proximal and distal ends of the cartridge body is positioned laterally inward of all of the number of longitudinal rows in the middle portion of the cartridge body.
8. The assembly of claim 1 , wherein at least one longitudinal row of each of the proximal and distal ends of the cartridge body is positioned laterally inward of all of the number of longitudinal rows in the middle portion of the cartridge body.
9. The assembly of claim 1 , wherein the plurality of sealing adjuncts are not positioned in the middle portion of the cartridge body.
10. A staple cartridge assembly for use with a surgical stapler, comprising:
a cartridge body having a plurality of staple cavities, each staple cavity having a surgical staple disposed therein;
a plurality of sealing adjuncts coupled to the cartridge body such that a staple ejected from the cartridge body passes through one of the plurality of sealing adjuncts before entering into tissue adjacent to the cartridge body;
at least one suture thread coupled to and extending between the plurality of sealing adjuncts positioned at the proximal and distal ends of the cartridge body; and
a washer disposed between the plurality of sealing adjuncts at the proximal and distal ends of the cartridge body and coupled to the at least one suture thread extending therebetween;
wherein the plurality of staple cavities are arranged such that each of the proximal end and the distal end of the cartridge body have a number of staple cavities that is greater than a number of staple cavities in a middle portion of the cartridge body extending between the proximal and distal ends; and
wherein the plurality of sealing adjuncts are positioned at the proximal and distal ends of the cartridge body.
11. The assembly of claim 10 , wherein a first suture thread extends between at least one sealing adjunct at the proximal end of the cartridge body and the washer, and a second suture thread extends between the washer and at least one sealing adjunct at the distal end of the cartridge body.
12. The assembly of claim 11 , wherein the first suture thread and the second suture thread have an identical length.
13. The assembly of claim 10 , wherein the washer is configured to elastically compress when the cartridge body is compressed against tissue.
14. The assembly of claim 10 , wherein the cartridge body includes a recess formed therein that is configured to seat the washer.
15. An end effector for a surgical instrument, comprising:
first and second jaws pivotably coupled at proximal ends thereof, the first jaw having a cartridge body removably attached thereto, the cartridge body having a plurality of staple cavities, each staple cavity having a surgical staple disposed therein;
a plurality of sealing adjuncts coupled to the cartridge body such that a staple ejected from the cartridge body passes through one of the plurality of sealing adjuncts before entering into tissue adjacent to the cartridge body;
wherein the plurality of staple cavities are arranged such that each of a proximal end and a distal end of the cartridge body have a number of longitudinal rows of staple cavities that is greater than a number of longitudinal rows of staple cavities in a middle portion of the cartridge body extending between the proximal and distal ends; and
wherein the plurality of sealing adjuncts are positioned at the proximal and distal ends of the cartridge body.
16. The end effector of claim 15 , wherein each of the plurality of sealing adjuncts comprises a first sealing material positioned at the proximal end of the cartridge body and a second sealing material positioned at the distal end of the cartridge body, and the end effector further comprises a washer positioned in the middle portion of the cartridge body and coupled to the first and second sealing materials.
17. The end effector of claim 15 , wherein the first and second jaws are configured to have a knife translate longitudinally therealong to cut tissue engaged by the first and second jaws.